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Enterotoxigenic Escherichia coli (ETEC) is a leading cause of mortality and morbidity in children in low-income countries. We have tested an oral ETEC vaccine, ETVAX, consisting of inactivated E coli overexpressing the most prevalent colonization factors and a toxoid, LCTBA, administered together with a mucosal adjuvant, double-mutant heat-labile toxin (dmLT), for capacity to induce mucosal immune responses and immunological memory against the primary vaccine antigens, ie, colonization factors, heat-labile toxin B-subunit and O antigen. The studies show that ETVAX could induce strong intestine-derived and/or fecal immune responses in a majority of vaccinated Swedish adults and in different age groups, including infants, in Bangladesh. © The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America.

Citation

Ann-Mari Svennerholm, Anna Lundgren, Susannah Leach, Marjahan Akhtar, Firdausi Qadri. Mucosal Immune Responses Against an Oral Enterotoxigenic Escherichia coli Vaccine Evaluated in Clinical Trials. The Journal of infectious diseases. 2021 Dec 20;224(12 Suppl 2):S821-S828

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PMID: 34550392

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